Is Epi-Lasik or LASIK more suitable for the moderately active?

Doctor's Answer

Both forms of cornea refractive surgery are equally viable for this group of patients. The previous concern that patients had about displacement of the cornea flap in vigorous sporting activities are unfounded, and with modern femto-laser assisted flap-creation, the incidence of flap movement and other similar complications have all but disappeared.

Generally speaking, patients on Accutane experience a high-incidence of dry skin and other mucous membranes, most importantly of the eye. The incidence of blepharitis, dry eyes and delayed cornea healing / delayed visual recovery after refractive surgery may result.

I would advise that patients avoid Lasik or any form of cornea refractive surgery whilst they are currently on Accutane or similar Vitamin-A medications for nodular acne, especially if they are symptomatic for dry eyes or blepharitis. Performing cornea refractive surgery at this juncture would only exacerbate their dry eye symptoms, and result in less than optimal recovery of their ocular surface.

This “no-go” period of surgery includes the period whilst on medication, and extends for a period of up to 4 months after cessation of their medications.

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